治疗决策辅助对肺癌患者决策困难和焦虑、抑郁的影响  

Effects of treatment decision aid on decision-making difficulties and anxiety, depression in patients with lung cancer

作　　者：孟颖[1] 盖百娟[1] 阚丽丽[1] 刘畅[1] 曹仲茹[2] Meng Ying;Gai Baijuan;Kan Lili;Liu Chang;Cao Zhongru(No.5 Department of Internal Medicine, Harbin Medical University Tumor Hospital, Harbin 150001, China;No.3 Department of lnternal Medicine, Harbin Medical University Tumor Hospital, Harbin 150001, Chin)

机构地区：[1]哈尔滨医科大学附属肿瘤医院内五科,哈尔滨150001 [2]哈尔滨医科大学附属肿瘤医院内三科,哈尔滨150001

出　　处：《中华现代护理杂志》2018年第14期1692-1695,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨治疗决策辅助在改善患者决策困难与焦虑、抑郁状况中的作用.方法 采用目的抽样的方法将哈尔滨医科大学附属肿瘤医院于2016年7—12月接受治疗的肺癌患者共289例随机分成试验组（n=147）和对照组（n=142）,对照组采取常规医生指导与健康教育,试验组发放决策支持手册与医务工作者共同参与治疗决策,采用决策困境量表与医院焦虑抑郁量表对干预效果进行评估.结果 干预前两组患者,决策困境量表得分差异无统计学意义（t=0.237,P=0.532）,干预后试验组得分低于对照组,差异有统计学意义（t=6.437,P〈0.001）.两组患者焦虑干预后差异无统计学意义（t=0.214, P=0.617）,抑郁得分差异无统计学意义（t=0.105,P=0.874）.结论 治疗决策辅助可有效改善患者治疗决策困境,降低患者决策不确定感.Objective To explore the effects of treatment decision aid on addressing decision-making difficulties and anxiety, depression in patients. Methods Totally 289 patients with lung cancer who were treated in Harbin Medical University Tumor Hospital between July and December 2016 were selected by purposive sampling and randomly divided into treatment group （n=147） and control group （n=142）. Patients in the control group received routine guidance and health education from doctors, while patients in the treatment group received decision support manuals and took part in treatment decision-making with medical staff. The Decision Distress Scale and the Hospital Anxiety and Depression Scale were used to assess the intervention effects. Results There was no statistically significant difference between the two groups judging from the scores of the Decision Distress Scale before the intervention （t=0.237, P=0.532）. After the intervention, the patients in the treatment group scored lower than the patients in the control group （t=6.437, P〈0.001）, and there was no statistically significant difference in the level of anxiety （t=0.214, P=0.617） and the level of depression （t=0.105, P=0.874） between the two groups. Conclusions Treatment decision aid can address the decision-making distress and mitigate the sense of uncertainty in patients effectively.

关 键 词：肺肿瘤 抑郁 治疗决策辅助 决策困难 

分 类 号：R473.73[医药卫生—护理学]